NPIMap

Organization Active NPI

Grupo Pediatrico Ciudad Universitaria, CSP

  • Specialist
  • Trujillo Alto, PR
National Provider Identifier
1285879296
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4934 Issued in PR
Legal business name
GRUPO PEDIATRICO CIUDAD UNIVERSITARIA, CSP
Practice address
D14 Ave Aa
Ciudad Universitaria
Trujillo Alto, PR 00976-3151
Phone
(787) 755-4270
Fax
(787) 755-1122
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ricardo Pacheco, M.D.NPI 1396721585
Title
Owner
Phone
(787) 755-4270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4934 PR Primary

Addresses

Primary practice location

D14 Ave Aa
Ciudad Universitaria
Trujillo Alto, PR 00976-3151

Mailing address

1795 Calle Gardenia
Mansiones de Rio Piedras
San Juan, PR 00926-7212
Phone (787) 755-4270

National Provider Directory

National Provider Directory

Locations

D14 Calle AA
Trujillo Alto, PR 00976
Phone (787) 755-4270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1285879296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 CALLE GARDENIA",
            "address_2": "MANSIONES DE RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267212",
            "telephone_number": "787-755-4270",
            "fax_number": "787-755-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D14 AVE AA",
            "address_2": "CIUDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763151",
            "telephone_number": "787-755-4270",
            "fax_number": "787-755-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO PEDIATRICO CIUDAD UNIVERSITARIA, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-755-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "4934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.